KENNETH R RUSSELL

WINSTON SALEM, NC
NPI1366543258
Professional NameKENNETH R RUSSELL
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NC  5843)
Enumeration Date2006-09-26
Last Update Date2007-07-09
Business Address
-- KENNETH R RUSSELL D.D.S.
1480 RYMCO DR STE B
WINSTON SALEM, NC 27103-2944
Phone number: 336-768-7940
Mailing Address
-- KENNETH R RUSSELL D.D.S.
1480 RYMCO DR STE B
WINSTON SALEM, NC 27103-2944
Phone number: 336-768-7940
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